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NPI Code Detail

MEDICARE: JENNA ROSE STELTZER

MEDICARE: JENNA ROSE STELTZER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC012463PA

General Provider Information

NPI Number : 1649772385
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA ROSE STELTZER
Provider Business Mailing Address
First Line : 16 W CENTER ST
Second Line :
City : SHAVERTOWN
State : PA
Zip : 18708-1404
Country : US
Telephone Number : 570-590-9751
Fax Number :
Provider Business Practice Location Address
First Line : 185 S MOUNTAIN BLVD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-1921
Country : US
Telephone Number : 570-474-6377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 03/07/2018

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Directions to “ JENNA ROSE STELTZER ” Practice Location

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